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South Carolina rates for HCPCS 28090

Exc Lesion Tendon Sheath/Capsule W/Synvct Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.45 / $2,627.80 / $9,863.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.17 / $414.28 / $720.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.97 / $312.14 / $312.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,959.21 / $4,877.85 / $8,525.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.88 / $423.36 / $675.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.62 / $580.00 / $1,370.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $497.48 / $872.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.88 / $537.36 / $865.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.83 / $1,168.83 / $1,168.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $311.29 / $585.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,550.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.60 / $497.37 / $1,038.14